Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $11.75 / $54.95	Facility		$5.13	$11.75	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.68 / $31.62	Professional		$3.39	$4.68	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.09 / $3.63	Professional		$2.57	$3.09	$3.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $47.86 / $51.29	Facility		$10.47	$47.86	$51.29
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $8.71 / $9.33	Professional		$3.89	$8.71	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $11.48 / $23.99	Facility		$5.13	$11.48	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $5.01 / $7.24	Professional		$3.16	$5.01	$7.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.82 / $5.89	Professional		$2.04	$2.82	$5.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $10,471.29 / $25,118.86	Facility		$5.13	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.79 / $5.75	Professional		$4.57	$4.79	$5.75
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $5.13 / $10.72	Facility		$2.45	$5.13	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.09 / $7.59	Professional		$2.04	$3.09	$7.59